St Anne's Community Services - Rockhaven

Updated 24 August 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

St Anne's Community Services - Rockhaven is a ‘care home.’ People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. St Anne's Community Service - Rockhaven is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a manager in post who was in the process of registering with us.

Notice of inspection

This inspection was unannounced. Inspection activity started on 27 July 2022 and ended on 29 July 2022. We visited the service out of hours on 27 and 28 July 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with three people who use the service and three relatives. We spoke with six staff, including the manager, regional manager, quality lead, nurses and support workers. We reviewed a range of records including three medicines records, two staff records, two care records and risk assessments. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 24 August 2022

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

St Anne’s Community Services - Rockhaven is a small care home providing 24 hour nursing and personal care to up to seven people. The service provides support to people with learning disabilities or autistic people. At the time of our inspection there were seven people using the service. Care is provided on one level and the home is located in a quiet residential area.

Based on our review of key questions Safe and Well led, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support: Model of care and setting maximises people’s choice, control and Independence. People were encouraged to set future goals and achieve these. One person was supported to spot their favourite train at the local train station. People accessed community services and they were supported to maintain family relationships. Staff communicated with people in an individualised way, to support people to make choices. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right care: Care is person-centred and promotes people’s dignity, privacy and human rights. Staff were kind and caring when interacting with people. Care plans and risk assessments were person centred. People were encouraged to be independent and people’s own rooms were individualised to them. We saw staff had good relationships with the people they supported. The manager understood their responsibilities and there was an open and transparent culture. Relatives felt people were safe and were positive about the care people received.

Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. Systems were in place to continuously improve the service. Staff had a good understanding of how people liked to be supported. Staff felt supported by the manager and there was a homely atmosphere in the service. The provider had regular oversight of the service. A regional manager and a quality and improvement lead supported the manager. Staff were motivated and proud of the service, they told us they felt valued and were well supported. Quality assurance and auditing systems were in place. People and relatives were kept informed of any events or incidents that occurred. The service regularly sought the views and opinions of people using the service, their relatives, staff and professionals. The service worked collaboratively with healthcare professionals and commissioners to ensure people's needs were met.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 02 May 2018).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding to assess that the service is applying the principles of Right support, right care, right culture.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Anne's Community Services - Rockhaven on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.